Table 16.12-4. Selective pharmacotherapy (nighttime doses) for insomnia

Sleep onset insomnia

Sleep maintenance insomnia

Insomnia in older adults

Insomnia and chronic pain

– Zolpidem: 5 mg for women, 5-10 mg for men

– Ramelteon 8 mg

– Temazepam 15-30 mg

– Zopiclone 3.75-7.5 mg

– Lorazepam 0.5-1 mg

– Doxepin 3-6 mg

– Zopiclone 3.75-7.5 mg

– Temazepam 15-30 mg

– Zolpidem: 5 mg for women, 5-10 mg for men

– Suvorexant 10-20 mg

– Lemborexant 5-10 mg

– Lorazepam 0.5-1 mg

– Doxepin 3-6 mg

– Zolpidem: 5 mg for women, 5-10 mg for men

– Zopiclone 3.75-7.5 mg

– Trazodone 25-50 mg

– Diazepam 2-5 mg

– Gabapentin 300-900 mg

– Nortriptyline 10-50 mg

– Duloxetine 30-90 mg

– Diazepam 2-5 mg

– Zolpidem: 5 mg for women, 5-10 mg for men

– Topiramate 25-100 mg

– Trazodone 25-100 mg

– Pregabalin 50-200 mg

Adapted from J Clin Sleep Med. 2017 Feb 15;13(2):307-349.